Community-Engaged Health Communication Strategies During the COVID 19 Pandemic: Experiences From Southern Andean Peru.

Jeannie Samuel, Carmen J Yon, Ariel Frisancho, Luz Estrada, Milagro Lourdes Valdez Jaén, Domingo P Paucar Pari, Daniel Rojas
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Abstract

This study examines the work of a collective of community-based Indigenous health rights activists in southern Peru who, at the height of the pandemic, designed, recorded, and disseminated seven Quechua language and culturally tailored Public Service Announcements for radio broadcast to provide information about COVID-19 vaccines. The activists took initiative amid a dysfunctional vaccine roll-out, when vaccination rates in their region were among the lowest in the country, and when mortality rates from COVID-19 were very high. The experiences of the activist collective, including their participatory, community-based approach and their connections with health workers, demonstrate the importance of pre-existing, strong, respectful relationships between communities and health systems in times of public health crisis. This is not an easy task given that relationships between communities and Peru's government-run health system are complex and shaped by dynamics of power, including colonial legacies and contemporary injustices. This case critically reflects on the notion of resilience and provides insights into the enduring struggles by Indigenous activists to decolonize and strengthen the public health system by pushing for forms of community participation based on substantive partnerships with community-based actors that genuinely integrate their knowledge and expertise.

COVID - 19大流行期间社区参与的卫生传播战略:来自南安第斯秘鲁的经验。
本研究考察了秘鲁南部一群以社区为基础的土著卫生权利活动人士的工作,他们在疫情最严重的时候,设计、录制和传播了7个克丘亚语公共服务公告,用于电台广播,提供有关COVID-19疫苗的信息。活动人士在疫苗推广功能失调的情况下采取了主动行动,当时他们所在地区的疫苗接种率是全国最低的,COVID-19的死亡率非常高。积极分子集体的经验,包括他们的参与性、基于社区的做法以及他们与卫生工作者的联系,表明在公共卫生危机时期,社区和卫生系统之间预先存在的、牢固的、相互尊重的关系的重要性。这并非易事,因为社区与秘鲁政府运营的卫生系统之间的关系复杂,并受到包括殖民遗产和当代不公正在内的权力动态的影响。本案例批判性地反思了复原力的概念,并深入了解了土著活动人士为非殖民化和加强公共卫生系统而进行的持久斗争,他们通过与真正整合其知识和专长的社区行为者建立实质性伙伴关系,推动各种形式的社区参与。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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